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首页> 外文期刊>Indian Journal of Surgery >Comparative study of skin staples and polypropylene sutures for securing the mesh in lichtenstein's tension free inguinal hernia repair: A Prospective randomized controlled clinical trial
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Comparative study of skin staples and polypropylene sutures for securing the mesh in lichtenstein's tension free inguinal hernia repair: A Prospective randomized controlled clinical trial

机译：皮肤吻合钉和聚丙烯缝合线在利希滕斯坦无张力腹股沟疝修补术中固定网孔的比较研究：一项前瞻性随机对照临床试验

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BACKGROUND: The tension-free hernioplasty as introduced by Lichtenstein has gained increasing acceptance during the last decade. This study compared two methods of mesh fixation.MATERIAL AND METHODS: Fifty-four patients undergoing sixty repairs were randomized into two groups. In control group polypropylene mesh was secured with 2/0 polypropylene sutures and skin closed with 2/0 polyamide black. In study group polypropylene mesh was secured with skin staples and skin was closed with staples from the same stapler. Duration of the surgery was recorded. RESULTS: The operation was significantly shorter when staples were used (median 42 min 30 s versus 54 min 30 s, P < 0.001). There was no significant difference in the incidence of postoperative complications or pain. There were no recurrences in either group in the follow up period (median 12 months).CONCLUSION: This technique of mesh fixation is as effective as conventional fixation with polypropylene sutures with an important added advantage; significant reduction in the operative time.
机译：背景：在过去的十年中，利希滕斯坦（Lichtenstein）提出的无张力疝气成形术越来越受到人们的认可。本研究比较了两种网状固定方法。材料与方法：将54例接受60次修复的患者随机分为两组。在对照组中，聚丙烯网用2/0聚丙烯缝线固定，皮肤用2/0聚酰胺黑封闭。在研究组中，用皮肤钉书钉固定聚丙烯网，并用同一订书机的钉书钉封闭皮肤。记录手术时间。结果：使用钉书钉时，手术时间明显缩短（中位42分钟30 s与54分钟30 s，P <0.001）。术后并发症或疼痛的发生率无明显差异。在随访期（中位12个月）中，两组均无复发。结论：这种网状固定技术与常规的聚丙烯缝合线固定一样有效，具有重要的附加优势。大大减少了手术时间。

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